Lee H M, Kim N H, Kim H J, Chung I H
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 1994 Dec;35(4):446-52. doi: 10.3349/ymj.1994.35.4.446.
In order to ascertain the normal values of the mid-sagittal canal diameter and the canal/body ratio of the cervical spine in Korean adults, ninety sets of cervical vertebral columns were examined. The average mid-sagittal canal diameters from C3 through C7 in the normal Korean are 13.2 +/- 1.3 millimeters in male and 13.1 +/- 2.6 millimeters in female. The normal average canal/body ratio of the cervical spine is 0.93 +/- 0.10 in male and 1.02 +/- 0.09 in female. The mid-sagittal canal diameter is largest in the White population and smallest in Asian, but there is no racial differences in the canal/body ratio, and the lower limit of normal canal/body ratio is 0.8 in Korean. The authors conclude that measurement of the canal/body ratio is more reliable than direct measuring of the mid-sagittal diameter of the cervical spinal canal in the diagnosis of cervical spinal stenosis or predicting the prognosis of cervical spinal cord injury.
为确定韩国成年人颈椎矢状中径及椎管/椎体比值的正常值,对90套颈椎柱进行了检查。韩国正常男性C3至C7的平均矢状中径为13.2±1.3毫米,女性为13.1±2.6毫米。颈椎正常平均椎管/椎体比值男性为0.93±0.10,女性为1.02±0.09。矢状中径在白种人群中最大,在亚洲人群中最小,但椎管/椎体比值无种族差异,韩国正常椎管/椎体比值下限为0.8。作者得出结论,在诊断颈椎管狭窄或预测颈脊髓损伤预后方面,测量椎管/椎体比值比直接测量颈椎管矢状中径更可靠。